When assessing a patient with a fracture, what is the priority nursing consideration?
Monitoring the patient's pain level
Assessing the neurovascular status of the affected limb
Evaluating the range of motion in nearby joints
Instructing the patient about cast care
The Correct Answer is B
Assessing the neurovascular status of the affected limb is the priority nursing consideration in a patient with a fracture. Checking for pulses, capillary refill, sensation, and motor function helps identify neurovascular compromise, which requires immediate intervention to prevent potential tissue damage and complications.
a. Monitoring the patient's pain level is essential, but it is not the priority over assessing neurovascular status. Pain management can be addressed after ensuring the limb's vascular and neurological integrity.
c. Evaluating the range of motion in nearby joints is important for overall assessment, but it is not as critical as assessing neurovascular status in a patient with a fracture.
d. Instructing the patient about cast care is necessary, but it is not the priority consideration when the patient's neurovascular status is at risk.
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Related Questions
Correct Answer is A
Explanation
Infection is a complication of fractures that can occur when bacteria enter the body through an open wound or during surgery. It presents with pain, warmth, redness, and swelling at the site.
b. Compartment syndrome: Compartment syndrome is characterized by severe pain, pallor, and loss of pulses distal to the fracture site, not warmth and redness.
c. Delayed union: Delayed union refers to a fracture that takes longer than usual to heal, and it does not typically present with warmth and redness.
d. Osteomyelitis: Osteomyelitis is a bone infection that can develop as a complication of fractures, but it does not typically present with warmth and redness at the site.
Correct Answer is A
Explanation
Adolescents, especially those involved in high-impact sports or activities, are at a higher risk of stress fractures due to their bones still growing and being more susceptible to repetitive stress injuries.
b. Young adults: Young adults may also be at risk of stress fractures, but adolescents are more vulnerable due to their ongoing bone growth and development.
c. Older adults: While older adults are at risk of fractures, stress fractures are more commonly seen in younger individuals engaged in high-impact activities.
d. Middle-aged adults: Middle-aged adults may experience fractures related to osteoporosis, trauma, or other factors, but they are not the primary population at risk for stress fractures.
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